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CO0055704
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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CLOVER
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11770
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4200 – Liquid Waste Program
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CO0055704
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Entry Properties
Last modified
4/3/2023 9:01:08 AM
Creation date
4/3/2023 9:00:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
RECORD_ID
CO0055704
PE
4200
STREET_NUMBER
11770
Direction
W
STREET_NAME
CLOVER
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
21226019
ENTERED_DATE
3/20/2023 12:00:00 AM
SITE_LOCATION
11770 W. CLOVER RD
RECEIVED_DATE
3/20/2023 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\bmascaro
Tags
EHD - Public
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11770 W. Clover Rd. Tracy <br />3/23/23 <br />PHOTO #2 <br />Septic Tank Pump Receipt <br />C00055704 <br />Invoice <br />1-15Uti)L <br />SOLD TO <br />Gt S 1 '_____ <br />;HIP TO Angers Septic Elorvice <br />4012 Dunhill, Dr. <br />, <br />- ADDRESS <br />117o 1,v. avef Rd <br />ADDRESS !Belida, CA 95368 <br />CITY. STATE. ZIP,. <br />'Irv-, ( <br />CITY, STATE. ZIP (209). 581-4600 <br />1209) 277-3716 <br />' <br />_.. <br />CUSTOMER ORDER NO. SOLD BY TERMS FOB. DATE <br />3- 277- 21 <br />I ORDERED SHIPPED DESCRIPTION PRICE UNIT AMOUNT <br />PO•rlpi4,___ cry t <br />5(7/ di gi__., ../ 62_44,±ir <br />- <br />i71 7‘5 10n4 kJ 4 (t.4 <A /tele <br />pi aildr IA" <br />Pqy goo .cpc, <br />,.... <br />crlains Sf,40 <br /> 1/111-1. <br />Aldara Salinas, Environmental Health Specialist <br /> <br />Page 2 of 2
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